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Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
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Enhancing Problem-Solving Therapy With Smartphone Technology: A Pilot Randomized Controlled Trial.

Kathleen M Grubbs¹, Traci H Abraham¹, Jeffrey M Pyne¹

¹Center for Mental Health Outcomes Research, Health Services Research and Development, and South Central Mental Illness Research Education and Clinical Center (MIRECC), Central Arkansas Veterans Healthcare System, North Little Rock (Grubbs, Abraham, Pyne); Department of Psychiatry, College of Medicine, University of Arkansas for Medical Sciences, Little Rock (Grubbs, Abraham, Pyne, Greene); Translational Research Institute, University of Arkansas for Medical Sciences, Little Rock (Greene); Department of Psychology, Michael E. DeBakey VA Medical Center, Houston (Teng); Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston (Teng); Health Services Research and Development, Center of Innovation for Veteran-Centered and Value-Driven Care, VA Puget Sound Health Care System, Seattle (Fortney); Department of Psychiatry, School of Medicine, University of Washington, Seattle (Fortney).

Psychiatric Services (Washington, D.C.)

|February 10, 2022

Summary

This summary is machine-generated.

The Moving Forward smartphone app, designed for problem-solving therapy (PST), showed promise in a pilot study. It augmented psychotherapy for veterans, reducing anxiety, depression, and stress while improving skills practice.

Keywords:

Primary care Smartphones Veteran

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Area of Science:

Digital mental health
Psychotherapy research
Mobile health interventions

Background:

Smartphone applications for mental health care are rapidly developing.
Research on the effectiveness of these digital tools, however, lags behind.
This study addresses the need for evidence regarding the efficacy of mental health apps.

Purpose of the Study:

To pilot test the Moving Forward app, a digital tool designed to support problem-solving therapy (PST).
To evaluate the app's effectiveness in augmenting traditional psychotherapy among veterans.
To assess user satisfaction and perceived value of the app in a clinical setting.

Main Methods:

A pilot study involving 33 veterans seeking mental health care.
Random assignment to receive six sessions of PST with either the Moving Forward app or a traditional workbook.
Assessment of anxiety, depression, stress, problem-solving skills, satisfaction, and practice using validated measures and qualitative interviews.

Main Results:

Both app and workbook groups reported high satisfaction and significant reductions in depression, anxiety, and stress.
Veterans using the Moving Forward app reported increased skills practice.
Qualitative feedback indicated patients found the app valuable and believed it could lower barriers to mental health care.

Conclusions:

The Moving Forward app shows preliminary evidence of effectively augmenting brief psychotherapy in primary care settings.
The app may enhance patient engagement and skill development in mental health treatment.
Further research is warranted to confirm these findings in larger, diverse populations.